Introduction: Dilatation of the left atrium and left ventricular diastolic dysfunction (DDLV) according to recent studies has significance in the occurrence of postoperative atrial fibrillation (AF), stroke and death. Authors of some studies found no relationship between these parameters and atrial fibrillation. Objective: this study is to determine the time of occurrence and duration of atrial fibrillation in patients after surgical revascularization (CABG) due to the presence of left ventricular diastolic dysfunction and left atrium dilatation and identify the most significant predictors of incident AF. Methods: Prospective study included 116 patients undergoing surgical myocardial revascularization followed from admission to discharge. The study was conducted at the Special Hospital “Heart Center BH” Tuzla for a period of one year (March 2011/2012 g.). For all patients was performed preoperative ultrasound examination, especially parameters of diastolic function of the left ventricle and left atrium volume index (LAVi), as the best parameter sized left atrium, and the postoperative occurrence of certain AF and day occurrence, duration in hours, the number of attacks. To assess whether an event occurred or not was used logistic regression, and the effect of time on the event of interest is analyzed by Cox ‘s regression hazard parallel. Results: 75.9 % of patients had DDLV, and 91.4 % were hypertensives, 12.9 % from the previous stroke (ICV) and 42.2 % diabetics (DM), 14 % with COPD. The average age of patients was 61.41 ± 4.69 years. In both groups was 32.8 % women and 67.2 % men. LAVi preoperative values were significantly higher as DDLV greater degree. In patients with DDLV and higher values LAVi risk of AF is higher, the greater the length of AF and significantly higher number of attacks FA. Early occurrence of atrial fibrillation and its longer duration in function with increasing LAVi a marked increase in the value LAVi have the greatest hazard for the early appearance of atrial fibrillation. As a result of analysis of the most significant predictors of AF are DDLV and LAVi. Conclusion: Postoperative atrial fibrillation occurs earlier and lasts longer in patients with DDLV and elevated left atrial volume index especially LAV > 36ml/m2. LAVi has the best explanation of the function of hazard occurrence of atrial fibrillation after CABG.

Background: The risk of wound infection after elective inguinal hernia repair depends on several factors. One of the most important factors is the preoperative skin preparation. The use of antisepsis is performed to reduce the risk of surgical site infections (SSIs) and to remove causing organisms. This work compares two different agent forms for preoperative skin preparation to prevent SSIs. Objectives: The objective of the study is comparing the effects of two different agents used for preoperative skin preparation and prevention of SSIs. Material and methods: 100 adult patients were divided and randomized into two groups, each containing 50 patients. Both groups included patients that are scheduled for elective Lichtenstein inguinal hernia repair. The first group includes patients whose skin preparations were done with povidone iodine (PI) only. The second group included patients that are treated with two antiseptics; Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide. Alkosol is applied before the induction of anesthesia. The povidone iodide is applied after Alkosol has evaporated. The presence of bacterial growth in the wound was determined 24 and 48 hours after operation. Swabs were used to take samples, which were then cultivated to check for bacterial growth. The presence of infection was also determined by the following criteria: pain or tenderness, induration, erythema, local warmth of the wound etc. Results: The surgeon or clinician declared that after 24 hours the wound was infected in 20 patients in the control group and in 22 patients after 48 hours. In the Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide group infection was declared in only 3 patients after 24 hours. Discussion: Compared to the use of providone only, the use of Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide has many advantages and was associated with lower rates of SSIs following clean surgery. A larger trial is warranted in order to add definitive and more conclusive data to the current evidence base.

Background: The current standard treatment of chronic hepatitis C in Bosnia and Herzegovina consists of pegylated interferon alpha in combination with ribavirin. Interferon therapy has many psychiatric side effects, with depressive symptomatology being most prominent. The aim of the study was to establish the frequency and severity of depression in patients with chronic hepatitis C during two months of the aforementioned therapy. Subjects and Methods: The overall sample consisted of 46 subjects, divided into three subgroups, aged 18 to 65. The study population consisted of subjects treated for chronic hepatitis C (n = 15), subjects infected but not treated for chronic hepatitis C (n = 15), and healthy controls (n = 16). The assessment and level of depression were based on the Structural clinical interview (SCID), Montgomery-Asberg Depression Rating Scale and Zung Self-Rating Depression Scale. The assessments were conducted before interferon therapy (on the day 0), after 4 and 8 weeks of therapy. Results: Regarding its frequency, MADRS scoring showed that the number of depressed subjects receiving therapy increased after 8 weeks (46.7%). There was statistical significance between the subgroups after 4 and 8 weeks. Likewise, the ZUNG scale showed that the number of depressed subjects receiving therapy increased after 8 weeks (73.3%). There was statistical significance between the subgroups on the day 0, after 4 and 8 weeks. Conclusions: Depression was significantly more frequent in chronic hepatitis C subjects treated with interferon alpha in combination with ribavirin than in subjects in the group without therapy. Mild depression was most prevalent.

This paper presents a framework for determining the price of power and energy at each node in distribution network as well as the price of energy losses in their elements. The proposed framework is based on the concept of the radial structure network and gives one approach to solving the pricing problem that is based on purchase price of power and energy at the network supply point. In this way it is possible to determine the economic value of energy losses whether in the network as a whole or in particular voltage levels. The model has been successfully tested and results from test studies are reported.

Introduction. The protective ileostomy is a procedure that is now increasingly used after the creation of low colorectal anastomosis, and after resection of rectal cancer. The protective ileostomy is a procedure that, to a lesser extent, affects the prevention of anastomotic colorectal dehiscence, but it has a much greater signifi cance in reducing the severity of complications occurring after colorectal anastomosis dehiscence. However, the creation itself, as well as the closure of loop ileostomy are accompanied with certain complications. Aim of the study. The aim of this study was to determine the frequency and severity of complications of ileostomy and justifi cation for its creation, within the test sample of 42 patients. Patients and Methods. The study was designed as a retrospective-prospective study. 42 patients, with created protective ileostomy that occurred after low colorectal anastomosis, were included in the study. The average age was 64.38 years with a standard deviation of 9.63 years. The youngest patient was 36 years old and the oldest patient was 77 years old. The representation of patients by gender was 29 (69%) male patients and 13 (31%) female patients. During the study, functions and complications associated with the created loop ileostomy, as well as the need for surgical treatment and the period until the sinking of ileostomy were monitored in patients. Results. Out of the total number of observed patient complications of ileostomy occurred in 8 of them (19%), and in 34 (81%) patients there were no complications. Out of the total number of complications, only in cases of 2 (4.8%) patients , there was the need for surgical treatment. In 1(2.4%) patient, ileostomy remained permanently. Conclusion. This study showed that the loop ileostomy after the creation of low colorectal anastomosis is accompanied with fewer complications. The resulting complications are successfully disposed by conservative treatment, and only rarely require surgical re-intervention. Keyword: loop ileostomy, rectal cancer, complications of loop ileostomy (Scr Med 2016:47:11-15) ! " # $ # % & ' ( ' ! ' & ! ) ! * ! + , . * * ! / 0 " 1 * ! * . 2 3 4 5 5 ! 6 5 1 4 # $ 0 12 Scripta Medica Vol. 47 • No 1 • April 2016. • www.scriptamedica.com Introduction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` > = 9 B C F ? @ A B > = A C D < M < L B 8 > < ? ; C @ > ? < 9 H < = C F > M < = C F > < = 9 D C < A < > D H ? > ; > < = C F > @ 8 9 ; D A > < S A = 8 A @ 9 C < = C F G M > ; 9 ; 9 @ > = A N 9 @ G ; > ; 9 > D H C B B L ; A D a ^ B > < 9 < Q b 7 C H > G M = 8 9 ; 9 > ; 9 C ? ? C < A D P N A 9 S < C D = 8 9 ; C @ 9 C E @ C C ? A @ 9 C < = C K F G = C ? ; C = 9 B = @ C S B C @ C ; 9 B = > @ > D > < = C F C < A < K = 8 9 C B B L ; ; 9 D B 9 C E H 9 8 A < B 9 D B 9 = C > ; 9 H L B = A C D A D H 9 > = 8 A D ? > = A 9 D = < S 8 C 8 > N 9 > @ K ; 9 > H G < L 9 ; 9 H H 9 8 A < B 9 D B 9 Q c Y C F ? @ A B > = A C D < C E A @ 9 C < = C F G F > G C B B L ; A D C N 9 ; d ] ^ C E ? > = A 9 D = < Q e f D C ; H 9 ; = C C I = > A D P C C H ; 9 K < L @ = < A D = 8 9 = ; 9 > = F 9 D = C E B C F ? @ A B > = A C D < M 9 > B 8 ? > = A 9 D = ; 9 O L A ; 9 < > D A D H A N A H L > @ = ; 9 > = F 9 D = M < ? 9 B A > @ B > ; 9 M ? 9 ; < A < = 9 D B 9 > D H = 9 > F S C ; J I 9 = S 9 9 D H C B = C ; < > D H D L ; < 9 < Qe Aim of the study 7 8 9 > A F C E = 8 9 < = L H G S > < = C H 9 = 9 ; F A D 9 = 8 9 E L D B = A C D C E ? ; C K = 9 B = A D P A @ 9 C < = C F G M = 8 9 C B B L ; ; 9 D B 9 C E B C F ? @ A B > = A C D < C E A @ 9 C < K = C F G S A = 8 A D = 8 9 C I < 9 ; N 9 H < = L H G > D H E ; C F = 8 9 : ; < = ? C < = C ? 9 ; K > = A N 9 H > G L D = A @ A = < B @ C < L ; 9 Q g L ; = 8 9 ; F C ; 9 M = 8 9 > A F C E = 8 9 < = L H G S > < = C H 9 = 9 ; F A D 9 = 8 9 D 9 9 H E C ; < L ; P A B > @ = ; 9 > = F 9 D = C E B C F ? @ A K B > = A C D < > D H = C H 9 = 9 ; F A D 9 = 8 9 U L < = A : B > = A C D E C ; B ; 9 > = A D P > @ C C ? A @ 9 C < = C F G Q Patients and Methods 7 8 9 < = L H G S > < H 9 < A P D 9 H > < > ; 9 = ; C < ? 9 B = A N 9 K ? ; C < ? 9 B = A N 9 < = L H G Q h d ? > = A 9 D = < S A = 8 @ C S B C @ C ; 9 B = > @ > D > < = C F C < A < > E K = 9 ; S 8 A B 8 = 8 9 B ; 9 > = A C D C E ? ; C = 9 B = A N 9 A @ 9 C < = C F G C B B L ; ; 9 H S 9 ; 9 A D B @ L H 9 H A D = 8 9 < = L H G Q i @ @ ? > = A 9 D = < S 9 ; 9 < A F A @ > ; A D > P 9 > D H < 9 Z Q j > = > E C ; = 8 9 < = L H G < L B 8 > < P 9 D H 9 ; M > P 9 M C ? K 9 ; > = A D P ; 9 < L @ = < M > D H B C F ? @ A B > = A C D < S 9 ; 9 L < 9 H E ; C F = 8 9 F 9 H A B > @ ; 9 B C ; H < M C ? 9 ; > = A C D > @ ? ; C = C B C @ < > D H B @ A D A B > @ 9 Z > F K A D > = A C D C E = 8 9 ? > = A 9 D = < = ; 9 > = 9 H > = = 8 9 Y @ A D A B C E k 9 D 9 ; > @ > D H i I H C F A D > @ l L ; P 9 ; G C E = 8 9 Y @ A D A B > @ Y 9 D = 9 ; A D m > D U > ` L J > Q l L ; P A B > @ = 9 B 8 D A O L 9 C E ? > = A 9 D = < A D B @ L H 9 H = 8 9 L < > P 9 C E @ C S ; 9 B K = > @ ; 9 < 9 B = A C D = 9 B 8 D A O L 9 S A = 8 < 8 > ; ? 9 Z B A < A C D I G = 8 9 ; F C B > L = 9 ; > D H ` A P > < L ; 9 M L D H 9 ; H A ; 9 B = N A < L > @ B C D = ; C @ C L = < A H 9 = 8 9 N A < B 9 ; > @ E > < B A > = 8 > = B C N 9 ; 9 H = 8 9 ; 9 B = L F > D H F 9 < C ; 9 B = L F Q n 9 < 9 B = A C D C E = 8 9 @ C S 9 ; F 9 < 9 D = 9 ; A B N 9 < < 9 @ < S > < B C D H L B = 9 H A D 8 A P 8 @ A P > = A C D Q i = = 8 9 < > F 9 = A F 9 M > D > H 9 O L > = 9 8 9 F C < = > < A < S > < ? 9 ; E C ; F 9 H S A = 8 = 8 9 L < > P 9 C E @ A P > = L ; 9 < > D H < @ C S K ; 9 < C ; ? = A C D < L = L ; 9 F > K = 9 ; A > @ > D H ` A P > < L ; 9 Q 7 C = > @ F 9 < C ; 9 B = > @ 9 Z B A < A C D S > < ? 9 ; E C ; F 9 H A D ? > = A 9 D = < S A = 8 ; 9 B = > @ = L F C ; < > = = 8 9 H A < = > D B 9 C E \ o B F E ; C F = 8 9 > D C > B L = 9 @ A D 9 Q f D F C < = B > < 9 < M = 8 9 ; 9 < 9 B = A C D S > < ? 9 ; E C ; F 9 H S A = 8 @ A D K 9 > ; 7 i < = > ? @ 9 ; Q f D > < F > @ @ D L F I 9 ; C E ? > = A 9 D = < M ; 9 < 9 B = A C D C E = 8 9 ; 9 B = L F S > < ? 9 ; E C ; F 9 H S A = 8 > < = > ? @ 9 ; E C ; @ C S > D = 9 K ; A C ; ; 9 < 9 B = A C D p B C D = C L ; q Q 7 8 9 > D > < = C F C < A < S > < B ; 9 > = 9 H L < K A D P = 8 9 F 9 B 8 > D A B > @ B A ; B L @ > ; < = > ? @ A D P H 9 N A B 9 < p < = > ? @ 9 ; < q Q i @ @ ? > = A 9 D = < S 8 C S 9 ; 9 @ A J 9 @ G = C B ; 9 > = 9 @ C C ? A @ 9 C < = C F G S 9 ; 9 A D E C ; F 9 H > I C L = = 8 > = > H H A = A C D > @ ? ; C B 9 H L ; 9 ? ; A C ; = C = 8 9 C ? K 9 ; > = A C D M > D H = 8 9 G 8 > H = C < A P D = 8 9 B C D < 9 D = E C ; F Q 7 8 9 : D > @ H 9 B A < A C D C D = 8 9 D 9 9 H = C B ; 9 > = 9 > ? ; C = 9 B = A N 9 A @ 9 C < = C F G S > < F > H 9 H L ; A D P = 8 9 C ? 9 ; > = A C D Q 7 8 9 H 9 B A < A C D H 9 ? 9 D H 9 H C D = 8 9 9 Z A < = 9 D B 9 C E E > B = C ; < = 8 > = F > G 8 > N 9 = 8 ; 9 > = 9 D 9 H = 8 9 > D > < = C K F C < A < > < S 9 @ @ > < = 8 9 9 Z ? 9 ; A 9 D B 9 C E = 8 9 < L ; P A B > @ = 9 > F Q g C ; F C < = C E = 8 9 B C @ C > D > @ > D > < = C F C < A < M > D > < = C F C < A < ? ; C = 9 B = A C D S A = 8 = 8 9 B ; 9 > = A C D C E ? ; C = 9 B = A N 9 A @ 9 C < = C F G S > < ? 9 ; E C ; F 9 H Q l = > D H > ; H < L ; P A B > @ = 9 B 8 D A O L 9 < S 9 ; 9 > ? ? @ A 9 H A D = 8 9 B ; 9 > K = A C D C E @ C C ? A @ 9 C < = C F G Q f D = 8 9 @ C S 9 ; ; A P 8 = O L > H ; > D = C E = 8 9 > I H C F 9 D M C D = 8 9 @ A D 9 = 8 > = B C D D 9 B = 9 H = 8 9 E ; C D = L ? ? 9 ; I 9 @ @ G I L = = C D > D H ? 9 @ N A B I L @ P 9 ? ; C = 9 B = A N 9 A @ 9 C < = C F G S > < B ; 9 > = 9 H Q ] B F @ C D P A @ 9 L F S A D H < S > < ? 9 ; E C ; F 9 H = 8 ; C L P 8 > D C ? 9 D A D P > = > I C L = \ ] B F C E m > L 8 A D W < N > @ N 9 Q p r A B = L ; 9 \ Q q 7 8 9 D = 8 9 ; 9 > ; 9 H P 9 < C E = 8 9 N > P A D > ; 9 B = L < > D H ?

Introduction. Colorectal metastatic liver tumors are the most common secondary liver tumors. During life, the liver metastases will develop either as synchronous or metachronous carcinomas in half of the total number of patients. At the time of the diagnosis, in approximately 25% of patients with colorectal cancer diagnosis, the presence of secondary deposits in the liver was observed, and additional 25% of patients were to develop metastases within fi ve years. Aim of the study. The objective was to demonstrate that anatomic resections of the liver present the method of choice in surgical treatment of colorectal liver metastases, when compared to metastasectomy. Patients and methods. The study included 70 patients, divided into two groups. Among the patients from the fi rst group, metastasectomy, which was consisted of the removal of metastases and the surrounding liver parenchyma no more than 1cm with the usage of Kelly-clysis technique or Ligasure device, was performed. In patients from the second group, anatomic resection of the liver was performed upon which metastases were removed and the associated anatomical segment or section, that is, half of the liver depending on the number and localization of metastases. Results. The average overall survival values for the fi rst group was 36 months with a standard deviation of 4.8 months. The average overall survival in patients from the second group was 36 months with a standard deviation of 2.6 months. The average value of disease-free survival in the fi rst group was 18 months with a standard deviation of 2.22 months. In the second group, the average disease-free survival was 22 months with a standard deviation of 0.74 months. Conclusion. Overall survival in both types of operation was identical, and the average overall survival was 36 months. Disease-free interval in the anatomical resection was 22 months, while it was 18 months in metastasectomy. From all the above mentioned, it can be concluded that surgery is a fundamental and irreplaceable method in the treatment of liver metastases of colorectal cancer. Key words: liver, metastasis, metastasectomy, anatomical resection (Scr Med 2016:47:7-10) & ' ( ) * + , * . / . 0 1 2 3 2 , 2 1 , 4 , * 5 , + * 6 7 8 ) 5 * 5 , 9 : ; + + 5 ; + < = > ? @ A A , B A ; @ 7 ) . 5 < / 9 + : 8 Scripta Medica Vol. 47 • No 1 • April 2016. • www.scriptamedica.com Introduction C D E D F G H I J E H J K H G F L M I N G O D M I H D O O D K P J M I F D L K I G M I L K J E O J E L P K J K I I Q O D F I N J I L M J E M D I N G O D M I H D O O D K E L R G F I Q S O D F O G I J M I J M G M T U V I I N G I L O G D W I N G X L J P K D M L M Y L K J Z Z F D [ L S O J I G E \ ] ^ _ D W Z J I L G K I M ` L I N H D E D F G H I J E H J K H G F X L J P K D M L M Y I N G Z F G M G K H G D W M G H D K X J F \ X G Z D M L I M L K I N G E L R G F ` J M D a M G F S R G X Y J K X J X X L I L D K J E ] ^ _ D W Z J I L G K I M ` G F G I D X G R G E D Z O G S I J M I J M G M ` L I N L K b R G \ G J F M T c d N G b F M I E L R G F F G M G H I L D K W D F H D S E D F G H I J E E L R G F O G I J M I J M G M ` J M Z G F W D F O G X a \ C J I G E E L K e f g h T i L I N I N G L O Z F D R G O G K I D W M Q F P L H J E I G H N K L j Q G M Y L K I F D X Q H I L S D K D W K G ` H \ I D M I J I L H M J K X F G X Q H I L D K D W I N G F G M G H I L D K O J F S P L K I D E G M M I N J K e H O Y I N G J Z Z E L H J I L D K D W L K I G F R G K I L D K J E F J S X L D E D P \ Y Z D F I J E R G K D Q M G O a D E L k J I L D K Y J E E D ` G X I N G I F J K M W G F D W Z J I L G K I M W F D O I N G P F D Q Z ` L I N Q K F G M G H I J a E G I Q O D F M I D P F D Q Z ` L I N F G M G H I J a E G D K G M T d N G J L O D W I F G J I O G K I L M M Q F S P L H J E F G O D R J E D W J E E O G I J M I J M I J I L H I Q O D F M L K I N G E L R G F Y a G S H J Q M G I N G G [ Z G F L G K H G L K X L H J I G M I D I N G b R G S \ G J F M Q F R L R J E D W ] ^ S l h _ D W I N G D Z G F J I G X Z J I L G K I M T c m h _ D W H D K M G F R J I L R G E \ I F G J I G X Z J I L G K I M ` L I N O G I J M I J M G M X D K D I M Q F R L R G J \ G J F T n o G I J M I J M G H I D O L G M Z F G M G K I I N G P F D Q Z D W K D K J K J I D O L H F G S M G H I L D K M Q F P G F L G M ` N G F G I N G L K I G F M G H I L D K D W I N G N G Z J I L H Z J F G K H N \ O J ` L I N L K h T ^ S e H O D W I N G O G I J M I J M G M L M Z G F W D F S O G X ` L I N I N G Q M J P G D W p G E E \ S H F \ M L M D F q L P J M Q F G I G H N K L j Q G T V K J I D O L H J E E L R G F F G M G H I L D K M J F G a J M G X D K I N G Z F L K H L Z E G M D W M G P O G K I J E J K X M G H I D F J K J I D O \ D W I N G E L R G F T d N G G [ I G K I D W J K J I D O L H J E M Q F P G F \ L K H E Q X G M M G P O G K I G H D O L G M Y a L M G P O G K S I G H I D O L G M Y M G H I L D K G H I D O L G M J K X N G O L N G Z J I G H I D O L G M T Aim of the study d D G M I J a E L M N ` N G I N G F J K J I D O L H F G M G H I L D K D W I N G E L R G F L M I N G O G I N D X D W H N D L H G L K M Q F P L H J E I F G J I O G K I D W H D E D F G H I J E E L R G F O G I J M I J M G M Y ` N G K H D O Z J F G X I D O G I J M I J M G H I D O \ Y J M ` G E E J M I D O D K L I D F I N G X L M I J K H G L K X L M G J M G S W F G G I L O G J K X D R G F J E E M Q F R L R J E T Patients and methods d N G F G M G J F H N N J X I N G H N J F J H I G F D W J F G I F D M Z G H I L R G S Z F D M Z G S H I L R G M I Q X \ T d N G M Q F R G \ ` J M H D K X Q H I G X L K I N G r K L R G F M L I \ C E L K L H J E C G K I G F D W s J K t J q Q u J T d N G M I Q X \ H D R G F G X I N G Z G S F L D X W F D O v J K Q J F \ ] h h m I D v J K Q J F \ ] h e g T d N G M I Q X \ ` J M H D K X Q H I G X D K m h Z J I L G K I M Y X L R L X G X L K I D I ` D P F D Q Z M w P F D Q Z V J K X s x T C F L I G F L J W D F L K H E Q M L D K L K I N G M I Q X \ ` G F G F G M Z D S K X G K I M ` N D ` G F G I G H N K L H J E E \ J a E G I D a G I J u G K H J F G D W a \ M Q F P L H J E O G I N D X D W O G I J M I J M G H I D O L G M J K X a \ O G I N D X D W J K J I D O L H J E F G M G H I L D K M T o G I J M I J I L H X L M G J M G ` J M E D H J E L k G X D K E \ L K I N G E L R G F T d N G b F M I P F D Q Z D W F G M Z D K X G K I M y z { ^ w P F D Q Z V x Q K S X G F ` G K I M Q F P L H J E O G I J M I J M G H I D O L G M D W I N G I Q O D F J K X I N G M G H D K X P F D Q Z y z { ^ w P F D Q Z s x Q K X G F ` G K I J K J I D O L H J E F G M G H I L D K D W I N G I Q O D F T | K I N G P F D Q Z V Z J I L G K I M Y O G I J M I J M G H I D O \ Y ` N L H N ` J M H D K S M L M I G X D W F G O D R L K P O G I J M I J M G M J K X M Q F F D Q K X L K P E L R G F Z J S F G K H N \ O J K D O D F G I N J K e H O ` L I N I N G Q M J P G D W p G E L S H F \ M L M I G H N K L j Q G D F q L P J M Q F G X G R L H G Y ` J M Z G F W D F O G X T | K P F D Q Z s Z J I L G K I M Y J K J I D O L H F G M G H I L D K D W I N G E L R G F ` J M Z G F W D F O G X Q Z D K ` N L H N O G I J M I J M G M ` G F G F G O D R G X J K X I N G J M M D H L J I G X J K J I D O L H J E M G P O G K I D F M G H I L D K Y I N J I L M Y N J E W D W I N G E L R G F X G Z G K X L K P D K I N G K Q O a G F J K X E D H J E L k J I L D K D W O G I J M I J M G M T d N G W D E E D ` L K P M Q F P L H J E J Z Z F D J H N G M ` G F G Q M G X } O G X L J E Y v L K H L M L D K J K X o J u Q H N E J Z J F D I D O \ T V W I G F I N G D Z G K L K P Y ` G J H H G M M G X I D I N G O D a L E L k J I L D K D W I N G E L R G F Y W D E E D ` G X a \ L K S I F J D Z G F J I L R G Q E I F J M D K D P F J Z N \ w | ~ r  V x Y ` N L H N Z F D R L X G X I N G X G I G H I L D K D W I N G Z F G H L M G I Q O D F Z D M L I L D K T q L R G F F G M G H I L D K ` J M Z G F W D F O G X J I F G X Q H G X H G K I F J E R G K D Q M Z F G M M Q F G C €  w h S ^ H O ‚ ] h x Y ` L I N I N G Z J I L G K I L K d F G K X G S E G K a Q F P Z D M L I L D K T  J F G K H N \ O J I F J K M G H I L D K a G P J K ` L I N X L J I N G F O \ I J P D W F G M G H I L D K E L K G Y ` N L E G I N G M G H I L D K D W Z J S F G K H N \ O J ` J M Z G F W D F O G X a \ q L P J M Q F G D F p G E E \ S H F \ M L M I G S H N K L j Q G T s L E L D S R J M H Q E J F M I F Q H I Q F G M ` G F G I J u G K H J F G D W ` L I N H E L Z M J K X R J M H Q E J F M Q I Q F G M T Results d N G D Q I H D O G M D W I N G G [ J O L K G X M J O Z E G D W D R G F J E E M Q F R L S R J E a J M G X D K p J Z E J K S o G L G F H Q F R G M W D F Z J I L G K I M W F D O I N G P F D Q Z V ` N D Q K X G F ` G K I O G I J M I J I G H I D O L G M Y I N G O G X L J K D R G F J E E M Q F R L R J E ` J M { l O D K I N M ` L I N J M I J K X J F X X G R L J I L D K D W g T ƒ O D K I N M J K X J D K G S \ G J F Y I ` D S \ G J F J K X I N F G G S \ G J F M Q F R L R J E ` J M ƒ ^ T { _ Y l ƒ T { _ J K X ^ h _ T w C N J F I e T x d N G J R G F J P G D R G F J E E M Q F R L R J E L K P F D Q Z s Z J I L G K I M Y ` N D Q K S X G F ` G K I I N G J K J I D O L H J E M Q F P G F \ Y ` J M { l O D K I N M ` L I N J M I J K X J F X X G R L J I L D K D W ] T l O D K I N M J K X J D K G S Y I ` D S J K X I N F G G S \ G J F M Q F R L R J E ` J M ƒ f T { _ Y l m T ^ _ J K X ^ h _ T Chart 1. Medial overall survival V W I G F I N G M I J I L M I L H J E H D O Z J F L M D K M D W p J Z E J K S o G L G F H Q F R G M D W D R G F J E E M Q F R L R J E a \ o J K I G E S C D [ I G M I w ] z h T e l m „ Z z 9 V. ŠKRBIĆ, M. SIMATOVIĆ, J. ĐERI, G. JANJIĆ, S. MIHAJLOVIĆ h T l ƒ { x Y L I H J K a G H D K H E Q X G X I N J I I N G F G ` J M K D M I J I L M I L H J E E \ M L P K L b H J K I X L G F G K H G w Z … h T h ^ x a G I ` G G K I N G M I Q X \ P F D Q Z M V J K X s ` N G K L I H D O G M I D D R G F J E E M Q F R L R J E T d N G O G X L J K R J E Q G D W X L M G J M G S W F G G M Q F R L R J E L K I N G P F D Q Z V ` J M e ƒ O D K I N M ` L I N J M I J K X J F X X G R L J I L D K D W ] T ] ] O D K I N M Y J D K G S \ G J F

Introduction. The protective ileostomy is a procedure that is now increasingly used after the creation of low colorectal anastomosis, and after resection of rectal cancer. The protective ileostomy is a procedure that, to a lesser extent, affects the prevention of anastomotic colorectal dehiscence, but it has a much greater signifi cance in reducing the severity of complications occurring after colorectal anastomosis dehiscence. However, the creation itself, as well as the closure of loop ileostomy are accompanied with certain complications. Aim of the study. The aim of this study was to determine the frequency and severity of complications of ileostomy and justifi cation for its creation, within the test sample of 42 patients. Patients and Methods. The study was designed as a retrospective-prospective study. 42 patients. with created protective ileostomy that occurred after low colorectal anastomosis, were included in the study. The average age was 64.38 years with a standard deviation of 9.63 years. The youngest patient was 36 years old and the oldest patient was 77 years old. The representation of patients by gender was 29 (69%) male patients and 13 (31%) female patients. During the study, functions and complications associated with the created loop ileostomy, as well as the need for surgical treatment and the period until the sinking of ileostomy were monitored in patients. Results. Out of the total number of observed patient complications of ileostomy occurred in 8 of them (19%), and in 34 (81%) patients there were no complications. Out of the total number of complications, only in cases of 2 (4.8%) patients , there was the need for surgical treatment. In 1(2.4%) patient, ileostomy remained permanently. Conclusion. This study showed that the loop ileostomy after the creation of low colorectal anastomosis is accompanied with fewer complications. The resulting complications are successfully disposed by conservative treatment, and only rarely require surgical re-intervention. Keyword: loop ileostomy, rectal cancer, complications of loop ileostomy.

Introduction: Scientific guidelines recommend the National Institutes of Health Stroke Scale (NIHSS) for ischemic stroke (IS) assessment. In Clinical Department of Neurology of Split University Hospital Center nurses use the categorization of patients (COP) according to individual needs for health care. Aim: The aim of this study was to demonstrate that there is a positive correlation between the COP and the NIHSS in IS patients. Methods: We analyzed NIHSS scores and COP findings in 325 participants (median age 77 years, min-max: 37-95 years) with acute ISs. Results: There is a statistically significant correlation between the NIHSS score at admission and COP at admission (ρ=0.717; P<0.001). There is a statistically significant correlation between the NIHSS score at discharge and COP at discharge (ρ=0.762; P<0.001). Median of NIHSS scores at admission is higher in females than in males for 2 (Z=4.45, P<0.001) and at discharge is higher for 2 (Z = 4.1, P<0.001). Median of COP at admission is higher in females than in males for 1 (Z=4.7, P<0.001) and at discharge is the same (Z=4.7, P<0.001). Conclusion: There is a significant association of NIHSS scores and COP in IS patients. This association exists at admission and at discharge from the hospital.

Introduction: Belching is often reported symptom. It is rarely an isolated disorder and mainly occurs within various gastroduodenal diseases. Aim: The aim is to show the great breadth of clinical symptoms of postcholecystectomy syndrome which should have a multidisciplinary therapeutic approach taking into account all aspects of patient’s life. Case report: We report a case of excessive belching within postcholecystectomy syndrome which disturbs the general psycho-physical condition of the patient, with symptoms of depression and anxiety, and social isolation, which significantly reduces the quality of his life.